Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.88 / $432.51 / $589.21	Professional		$354.88	$432.51	$589.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $42.31 / $58.91	Professional	26	$36.31	$42.31	$58.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $318.57 / $390.20 / $529.88	Professional	TC	$318.57	$390.20	$529.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $631.70 / $631.70 / $1,301.25	Professional		$631.70	$631.70	$1,301.25
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.29 / $58.29 / $120.07	Professional	26	$58.29	$58.29	$120.07
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $573.75 / $573.75 / $1,181.88	Professional	TC	$573.75	$573.75	$1,181.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $320.55 / $820.03	Professional		$216.04	$320.55	$820.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $32.31 / $88.33	Professional	26	$24.78	$32.31	$88.33
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.26 / $291.81 / $820.23	Professional	TC	$191.26	$291.81	$820.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.91 / $808.11 / $2,241.23	Professional		$682.91	$808.11	$2,241.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $66.80 / $79.05 / $210.11	Professional	26	$66.80	$79.05	$210.11
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $616.10 / $729.06 / $2,031.12	Professional	TC	$616.10	$729.06	$2,031.12
United Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $384.58 / $1,214.19	Professional		$305.39	$384.58	$1,214.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.32 / $36.15 / $117.60	Professional	26	$33.32	$36.15	$117.60
United Facility/Professional Professional Modifier TC Low / Median / High Price $270.38 / $348.19 / $1,090.02	Professional	TC	$270.38	$348.19	$1,090.02